CASSANDRA LEE JOHNSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073254

License Status

EXPIRED

Business

Title

First Name

CASSANDRA

Middle

LEE

Last Name

JOHNSON

Business Name

CASSANDRA LEE JOHNSON MD

Original Issue Date

06/26/2021

Effective Date

06/26/2021

Expiration Date

06/25/2022

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

10/11/2022